TY - JOUR
T1 - Salvage of Pilon Fracture Nonunion and Infection with Circular Tensioned Wire Fixation
AU - Hutson, James J.
N1 - Funding Information:
The outcome provides patients with a reconstructed extremity with reduced function. In the author's series of 51 pilon nonunions, the foot ankle score ranges from 42 to 92 with a mean of 71 ( Fig. 38 ). Posttraumatic arthritis of the ankle, hindfoot, and midfoot joints progresses with time causing a slow deterioration in foot function. There has been no recurrence of infection of the 21 patients who had infected nonunion. This reflects the aggressive débridement that is supported by the advantage of bone transport.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2008/3
Y1 - 2008/3
N2 - Nonunion, malunion, and infection are complications encountered when treating fractures of the distal tibia extending into the joint surface. There is rank order of severity of those complications extending from a varus collapse of the medial column of the distal tibia with a reduced joint surface to an infected nonunion with destruction of the joint surface, segmental bone loss, and damaged soft tissue envelope. Malunion and malposition of nonunion of the distal tibia have a combination of angular deformity, translation, rotational malalignment, and shortening. These deformities require correction in the reconstruction and there are multiple technique pathways to achieving a successful reconstruction.
AB - Nonunion, malunion, and infection are complications encountered when treating fractures of the distal tibia extending into the joint surface. There is rank order of severity of those complications extending from a varus collapse of the medial column of the distal tibia with a reduced joint surface to an infected nonunion with destruction of the joint surface, segmental bone loss, and damaged soft tissue envelope. Malunion and malposition of nonunion of the distal tibia have a combination of angular deformity, translation, rotational malalignment, and shortening. These deformities require correction in the reconstruction and there are multiple technique pathways to achieving a successful reconstruction.
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U2 - 10.1016/j.fcl.2007.11.004
DO - 10.1016/j.fcl.2007.11.004
M3 - Review article
C2 - 18328415
AN - SCOPUS:39849097857
VL - 13
SP - 29
EP - 68
JO - Foot and Ankle Clinics
JF - Foot and Ankle Clinics
SN - 1083-7515
IS - 1
ER -